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Texas rates for HCPCS 35683

Bypass graft; autogenous composite, 3 or more segments of vein from 2 or more locations (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $467.74 / $707.95
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $562.34 / $891.25
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $2,454.71
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $13,182.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $794.33 / $5,128.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $512.86 / $660.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $316.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $562.34 / $954.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $562.34 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $2,454.71 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $457.09 / $724.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $398.11